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After 3D planning with XG-3D cone beam from SIRONA, it was confirmed that the surgical site has sufficient bone both horizontally and vertically, reducing the need for a large surgical flap. Using the versatile Er:YAG wavelength of the KaVO KEY 3+ Dental Laser for the soft tissue incision and also for osteotomy, the implant site was prepared and widened with the help of the bone expanders. About 80% of my cases can be completed without the use of traditional drill method. Once the cortical plate is penetrated with the laser sapphire chisel tip, the preparation of the cancellous bone sometimes need no further ablation and the site is prepared to length with just the application of the bone spreader. This is a very conservative approach to implant site osteotomy as minimal bone is removed and considerable lateral bone expansion can be achieved. Healing is usually uneventful due to small surgical opening. Recording done using the LEICA M320 microscope.